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2015

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Medicine and Health Sciences

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Full-Text Articles in Social Work

Advocacy In Action: A Framework For Implementation Of The American Counselors Association Advocacy Competencies On A Local Level, Jeffrey M. Lown Dec 2015

Advocacy In Action: A Framework For Implementation Of The American Counselors Association Advocacy Competencies On A Local Level, Jeffrey M. Lown

Educational Specialist, 2009-2019

Despite calls from within the professional field and external forces, counselors have faced ongoing challenges in their efforts to be effective advocates for their clients and themselves. A review of the literature reveals that throughout the history of the profession, prominent figures have called on counselors to assume advocacy roles, and that some initiatives have been successful in fostering lasting change. However, as counselors and their clients’ needs continue to evolve, so too must strategies to address these needs be reevaluated and new initiatives put into place.

In this paper, I have outlined a committee structure and agenda that seeks …


Prescription For Critical Thinking: A Discussion Of Psychotropic Medication And Counseling, Barton W. Biggs Dec 2015

Prescription For Critical Thinking: A Discussion Of Psychotropic Medication And Counseling, Barton W. Biggs

Educational Specialist, 2009-2019

This paper examines questions about the safety and efficacy of psychotropic medication, and looks at how these questions should impact the field of counseling. The paper first looks at increasing rates of use of psychotropic medication, and establishes that nearly every clinical mental health counselor will work with clients who are taking or considering taking such medication. The paper next examines the scientific literature and establishes that there is a legitimate basis for questions to be raised about the safety and efficacy of these medications. The paper goes on to establish that there is a foundation in ethical codes and …


Wanda And Joseph: Language Development In The Context Of Family Stress And Trauma, Isabel Jay Dec 2015

Wanda And Joseph: Language Development In The Context Of Family Stress And Trauma, Isabel Jay

Child Development Theses

Much has been written on child language development and recent years have seen a burst of research on the psychological and physiological impact of trauma and stress. This study seeks to review existing research on how family trauma influences language development, and consider existing interventions. A case study is presented of work with a mother and her language-­‐delayed child through preventive services. Interventions focused on increasing the mother’s capacity for mentalization and playful interaction with her child were found to be useful in ameliorating communication barriers and increasing the child’s social engagement.


A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak Dec 2015

A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak

Electronic Theses and Dissertations

The purpose of this study was to understand the phenomenon of how heterosexual Baby Boomers define and understand intimacy, sexual expression, along expectations and desires relating to their respective expressions across the lifespan through their individual experiences and reflections. A set of guiding questions were used in a hermeneutic phenomenological qualitative research design. Data was gathered from thirteen subjects (n=13) using the Rappaport Time Line (RTL) that was used to develop individualized semi-structured interviews and follow-up interviews that were professionally transcribed. These were coded to identify emergent themes. Results of the study provided insight into the phenomenon of how heterosexual …


The Sixties Scoop Among Aboriginal Veterans: A Critical Narrative Study, Munira Abdulwasi Sep 2015

The Sixties Scoop Among Aboriginal Veterans: A Critical Narrative Study, Munira Abdulwasi

Electronic Thesis and Dissertation Repository

This study explored the experience of Aboriginal Veterans adopted and/or fostered during the Sixties Scoop using critical narrative inquiry. The objectives were to: 1) understand the lived experience of Aboriginal veterans adopted and/or fostered during the Sixties Scoop, 2) explore any health needs expressed by Aboriginal veterans adopted and/or fostered during the Sixties Scoop, and 3) provide recommendations for the implementation of health services and programs to assist this group of Aboriginal veterans with their health needs. Eight individual interviews were conducted with participants in Kitchener-Waterloo, London, Ottawa, Winnipeg, and Vancouver. All interviews were audio-taped, transcribed verbatim, and analyzed using …


Parents’ Needs After Their Child Receives A Diagnosis Of Developmental Disability, Talia Pearl Sep 2015

Parents’ Needs After Their Child Receives A Diagnosis Of Developmental Disability, Talia Pearl

Child Development Theses

In the existing literature, there seems to be a lack of attention focused on the needs of parents of children with developmental disabilities. For this thesis, I analyzed survey data and examined case material to try to identify parents’ needs after their child receives a diagnosis of developmental disability. Through my work I identified three major themes: parents’ yearning for more information, the degree to which every family’s needs are individualized and unique, and the significant degree of psychosocial stressors this population experiences. At the end of the thesis, I provide recommendations for an agency such as the one I …


Preserving, Interpreting, And Displaying Mental Health History: Establishing The Patton State Hospital Museum And Archive, Shannon Rene Long Jun 2015

Preserving, Interpreting, And Displaying Mental Health History: Establishing The Patton State Hospital Museum And Archive, Shannon Rene Long

Electronic Theses, Projects, and Dissertations

There are few museums in the western half of the United States that provide an opportunity to educate the public about the history of mental health care. Recently, a mental health museum and archive of artifacts, photographs, and documents was established on the grounds of Patton State Hospital in Highland, California. The purpose of this paper is to reflect on the establishment of this museum and archive and to provide an account of the 125 year history of Patton State Hospital. Understanding the history of Patton provides an opportunity to understand the history of mental health care in the United …


Utilization Of Specialized Camp Services Among Parents Of A Child With A Disability, Heather Ann Wroten Jun 2015

Utilization Of Specialized Camp Services Among Parents Of A Child With A Disability, Heather Ann Wroten

Electronic Theses, Projects, and Dissertations

The purpose of this study was to explore the utilization of specialized camp services among parents of a child with a disability. This study sought to investigate specialized camp services as respite for families. The data was gathered utilizing a mixed method survey approach. The surveys were distributed to primary caregivers of a child with a disability who have attended Camp Paivika within the past three years. The sample size of this study was 69 respondents. The results show that the family unit benefits by way of de-isolation. The camper increases social skills, confidence, and independence. The caregivers experience emotional …


The Relationship Between Self-Determination And Client Outcomes Among The Homeless, Samuel M. Hanna Jun 2015

The Relationship Between Self-Determination And Client Outcomes Among The Homeless, Samuel M. Hanna

Electronic Theses, Projects, and Dissertations

This paper has attempted to determine if there is a significant relationship between self-determination and client outcomes among the homeless. The study has been based upon the conceptual framework set forth in Self-Determination Theory. The purpose of the study was to explore the relationship between self-determination and client outcomes among the homeless. Using a data collection instrument, based on empirically validated instrumentation, clients from several homeless service providers in the City of San Bernardino were assessed for the level of self-determination and autonomy support they experience within these agencies. Outcome measures included such things as whether the client was going …


Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli Jun 2015

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …


Effectiveness Of Proloquo2goTm In Enhancing Communication In Children With Autism During Aba Therapy, Taylor Eastin Krcek May 2015

Effectiveness Of Proloquo2goTm In Enhancing Communication In Children With Autism During Aba Therapy, Taylor Eastin Krcek

Doctoral Dissertations

Autism is a bio-neurological developmental disorder presenting in early childhood that has a profound effect on an individual's ability to communicate. The iPad® with the Proloquo2GoTM app is a multilingual Augmentative and Alternative Communication (AAC) solution designed to assist people who have difficulty speaking or cannot speak at all. This study examines the effectiveness of the Proloquo2GoTM app delivered via iPad® to enhance the tacting, manding, and verbal completion repertoires of children with autism. Participants included five children between the ages of three and four years old diagnosed with an autism spectrum disorder (ASD) and with low to …


Shhh…Listen To Your Pebble Mindfulness Education: The Relationship Between Children, Imagination, And Nature, Jeanie Yeo May 2015

Shhh…Listen To Your Pebble Mindfulness Education: The Relationship Between Children, Imagination, And Nature, Jeanie Yeo

Child Development Theses

A culture of education embedded in mind-body learning experiences and mindfulness approaches to knowledge on multiple levels through awareness has the potential to cultivate versatile and flexible social individuals who are mentally, emotionally, and intellectually “capable.” Since children experience the world primarily through their bodies, movement and interaction with the environment are a means for them to explore, find, understand, and fortify the self to better regulate their physical, emotional, and social realms so that they develop into social individuals who find value in themselves and in others. Therefore, focusing on strengthening children‟s mind-body connection through mindfulness-based practices is a …


Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever May 2015

Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever

Graduate Theses and Dissertations

This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …


Treating The Whole Child: An Integrated, Flexible Treatment Approach To Children With Asd, Danielle Kuhn Apr 2015

Treating The Whole Child: An Integrated, Flexible Treatment Approach To Children With Asd, Danielle Kuhn

Child Development Theses

It has been argued that clinicians should use caution in employing dynamic psychotherapy in the treatment of children with Autism Spectrum Disorder (ASD). At the same time, some authors have argued that a psychodynamic approach can contribute to developmental gains for children with ASD (Hoffman & Rice, 2012), especially when used in conjunction with a developmental approach (Alvarez, 1996; Crown, 2009). It has furthermore been argued that when clinicians are able to keep both psychodynamic and neurodevelopmental concepts and approaches in mind, rather than relying too heavily on one or the other, psychodynamic work has a place for children with …


Metaphoric Generative Genograms: A Journey To Bring Genograms To Life Through Metaphorical Components, Elisa Garcia Jan 2015

Metaphoric Generative Genograms: A Journey To Bring Genograms To Life Through Metaphorical Components, Elisa Garcia

Department of Family Therapy Dissertations and Applied Clinical Projects

The purpose of this dissertation is to offer a greater understanding of the potential of genograms through my clinical work from a Bowen Family Systems lens. I account for how I processed and effectively blended metaphorical components, by examining six cases from my two-year journal entries, of bringing genograms to life in sessions. I also explain how I created a useful tool, the Metaphoric Generative Genogram, that can benefit other clinicians working with children and families in the foster care community.


Hope-Focused Solutions: A Relational Hope Focus Of The Solution-Building Stages In Solution-Focused Brief Therapy, Jenna A. Wilson Jan 2015

Hope-Focused Solutions: A Relational Hope Focus Of The Solution-Building Stages In Solution-Focused Brief Therapy, Jenna A. Wilson

Department of Family Therapy Dissertations and Applied Clinical Projects

The positive psychotherapy focused on for this study is Solution-Focused Brief Therapy (SFBT). Insoo Kim Berg and Yvonne Dolan (2001) once described the essence of Solution-Focused Brief Therapy (SFBT) as the “pragmatics of hope and respect” (p. 1) and despite Berg and Dolan’s declaration of hope’s importance in SFBT, little process research has been published looking at the “pragmatics” of hope in SFBT practice. Hope is seen as a common factor in psychotherapy since the human relationship, also known as the therapeutic alliance, is a foundation of psychotherapy. Hope plays a significant role in every human interaction and it is …


What Impacts Life Satisfaction Of Aging Adults Following Stressful Life Events?: An Examination Of The Buffering Effect Of Personal Resources, Cassandra Barragan Jan 2015

What Impacts Life Satisfaction Of Aging Adults Following Stressful Life Events?: An Examination Of The Buffering Effect Of Personal Resources, Cassandra Barragan

Wayne State University Dissertations

Purpose: Existing research has shown that elders experience changes in their life satisfaction following stressful life events. There is an abundance of literature supporting the predictive nature of not only stressful life events on life satisfaction, but social support, autonomy, and financial security. What the literature is lacking, is examination of the buffering effect of social support, autonomy, and financial security on the relationship between stressful life events and life satisfaction. This study hypothesizes that increases in social support, autonomy, and financial security will buffer the impact of SLEs for elders and thus, they will experience increases in their life …


African American Grandparents Residing In A Nursing Facility: Perceptions Of Influence With Their Grandchildren, Family, And Community, Monica Bester Jan 2015

African American Grandparents Residing In A Nursing Facility: Perceptions Of Influence With Their Grandchildren, Family, And Community, Monica Bester

Wayne State University Theses

African American older adults have historically been identified as vital members of the African American family and community (Hill, 1972; Cox, 2002; Waites, 2008). Unfortunately, research has shown an increasing number of older African Americans are being admitted into nursing facilities (Paul, 2004; Feng et al., 2011). Between the years of 1998-2008, it was projected African Americans living in nursing homes increased by 10.8% (Feng et al., 2011).

This study explores the intergenerational relationships of older African American adults with their grandchildren, family, and community through the lens of Intergenerational Family Systems Theory. By viewing this qualitative study through the …


The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson Jan 2015

The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine whether Crisis Alleviation Lessons and Methods -© (CALM), as a behavioral crisis management program, was effective in reducing patient and healthcare professional injuries in a long-term residential care setting. This research was needed due to the lack of peer-reviewed scholarly literature on the effectiveness of behavioral crisis management programs, especially on programs using both nonphysical and physical de-escalation techniques, such as CALM. An auto-regressive integrated moving average (ARIMA) time series analysis was performed to examine the effect the implementation of the CALM program (independent variable) had on the rate of injuries to …


Racism Vs. Social Capital: A Case Study Of Two Majority Black Communities, Bruce W. Strouble Jan 2015

Racism Vs. Social Capital: A Case Study Of Two Majority Black Communities, Bruce W. Strouble

Walden Dissertations and Doctoral Studies

Several researchers have identified social capital as a means to improve the social sustainability of communities. While there have been many studies investigating the benefits of social capital in homogeneous White communities, few have examined it in Black homogeneous communities. Also, there has been limited research on the influence of racism on social capital in African American communities. In this dissertation a comparative case study was used within a critical race theory framework. The purpose was to explore the role of racial oppression in shaping social capital in majority African American communities. Data were collected from 2 majority Black communities …


Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer Jan 2015

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …


Gender Difference When Processing Death By Suicide: Attitudes Amongst Third Level Students Aged 18-25 Attending Cork Institute Of Technology And College Support Professionals, Sandra Conroy Jan 2015

Gender Difference When Processing Death By Suicide: Attitudes Amongst Third Level Students Aged 18-25 Attending Cork Institute Of Technology And College Support Professionals, Sandra Conroy

Masters

Rationale behind research: Survivors of suicide/ suicide bereaved face unique challenges in their grief, resulting in a greater risk of conditions such as complicated grief, PTSD and suicidal ideation developing (Young, Iglewicz, Glorioso, Lanouette, Seay, llapakurti & Zisook, 2012). In dealing with or 'processing' the loss of a loved one by suicide, Wertheimer details that, "suicidal thoughts are not uncommon during the early months of bereavement" (1991: 178). The incidence of young men dying by suicide is notably higher than that of women in this country; a stubborn gender difference persists in Ireland with males representing on average 80% of …


The Felt Sense Of Interconnectedness: A Qualitative Analysis Of Perceptions On Finding Resilience In The Aftermath Of Trauma Using The Mind-Body Connections Of Yoga, Ashley Collette Jan 2015

The Felt Sense Of Interconnectedness: A Qualitative Analysis Of Perceptions On Finding Resilience In The Aftermath Of Trauma Using The Mind-Body Connections Of Yoga, Ashley Collette

Theses and Dissertations (Comprehensive)

Members and veterans of the military are at an increased risk of exposure to traumatic experiences due to the very nature of their occupation. The most recent statistics on Canada’s deployment to Afghanistan show that 13.2% of the (Canadian Armed Forces (CAF) members deployed have been diagnosed with a mental injury within a five year follow up period of redeployment from the theatre of operations. The present preliminary study was designed to examine Yoga as a therapeutic intervention for trauma in a population of CAF members and veterans. The author interviewed 4 service providers and 2 service users of Yoga-based …